CHUCK DONALD MARTIN (M.D.) – Diagnostic Radiology Physician, NPI 1053346403

CHUCK DONALD MARTIN (M.D.) is a healthcare provider. based in Tacoma, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD00041978 (WA). The NPI Number for CHUCK DONALD MARTIN (M.D.) is 1053346403

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
CHUCK DONALD MARTIN (M.D.)
NPI
1053346403
Phone
(253) 680-3372
Address
1304 FAWCETT AVE
Enumeration Date
12 July 2006
Last Update Date
30 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2537614200
Graduation Year
1992 (34 years ago)
PAC ID
4688661192
Group Practice PAC ID
2163316167
Professional Enrollment ID
I20040427001393
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

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Provider Addresses for CHUCK DONALD MARTIN (M.D.)

  • 1304, Fawcett Avenue, New Tacoma, Tacoma, Pierce County, Washington, 98402, United States

    SUITE 100

    TACOMA, WA 984021911

    Phone: (253) 680-3372

    Fax: (253) 383-3553

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-03-25 • Largest payer in this snapshot: Boston Scientific Corporation ($113).

Total Amount

$113

General + Research + Ownership

Payments

2

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040427001393IDiagnostic RadiologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77063Screening 3d breast mammography1,6081,608$0
77067Screening mammography1,6081,608$0
77080Dxa bone density measurement of hip, pelvis, spine1,0631,063$0
71045X-ray of chest, 1 view257245$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)193186$0
View full utilization report →

Insurance plans in this area (ZIP 98402)

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Provider's Procedures

CHUCK DONALD MARTIN (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWA71010X-ray of chest, 1 view, front677563
DIAGNOSTIC RADIOLOGYWA71250CT scan chest5956
DIAGNOSTIC RADIOLOGYWA73110X-ray of wrist, minimum of 3 views2523
DIAGNOSTIC RADIOLOGYWA73630X-ray of foot, minimum of 3 views5854
DIAGNOSTIC RADIOLOGYWA74177CT scan of abdomen and pelvis with contrast6767
DIAGNOSTIC RADIOLOGYWA76830Ultrasound pelvis through vagina1616
DIAGNOSTIC RADIOLOGYWA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4241

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163316167View full group profile
NameSpecialtyState
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyPA
Diagnostic RadiologyWA
-WA
-WA
Diagnostic RadiologyPA
Interventional Radiology, Diagnostic RadiologyWA
Diagnostic RadiologyWA

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Frequently asked questions

What is the registry number for CHUCK DONALD MARTIN (M.D.)?
The registry entry for CHUCK DONALD MARTIN (M.D.) shows NPI 1053346403.
Should I treat CHUCK DONALD MARTIN (M.D.) as an active provider?
Patients and plans typically see CHUCK DONALD MARTIN (M.D.) as active in the national extract.
Which specialty label fits CHUCK DONALD MARTIN (M.D.)?
NPPES ties CHUCK DONALD MARTIN (M.D.) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit CHUCK DONALD MARTIN (M.D.) in Tacoma, Washington?
For routing, start with Tacoma, Washington for CHUCK DONALD MARTIN (M.D.), then verify phone and hours locally.
Who maintains CHUCK DONALD MARTIN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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